CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC (NPI# 1801267703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801267703 |
| Entity Type | Organization |
| Organization Name | CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC |
| Practice Address |
5068 W Plano Pkwy Ste 300 Plano TX 75093-4409 |
| Mailing Address |
Po Box 703975 Dallas TX 75370-3975 |
| Practice Telephone | 9727559765 |
| Practice Fax Number | 2146023260 |
| Mailing Telephone | 9727559765 |
| Mailing Fax Number | 2146023260 |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | MRS. STEPHANIE O'SILAS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9727559765 |
| Authorized Official Credential | MS CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
110891 | TX | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3930 Accent Dr, Dallas, TX 752877713 | 9727559765 |
| Street Address |
5068 W PLANO PKWY STE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568541472 | Marcelo Mitchell Matamoros | Social Worker | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2006-11-02 |
| 1619465929 | Tiauna Plummer | Specialist/Technologist | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2018-04-23 |
| 1033616990 | Constance Ibe | Speech-Language Pathologist | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2018-04-09 |
| 1831550110 | Willow Bend Home Health, LLC | Nursing Care | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2016-03-14 |
| 1972963908 | Nucaretx, LLC | Home Health | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2016-03-03 |
| 1841664422 | Stephanie O'silas | Speech-Language Pathologist | 5068 W Plano Pkwy Ste 300, Plano, TX 75093-4409 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1558986091 | Rise Pediatric Therapy Center LLC | Clinic/Center | 21004 North Fwy, Spring, TX 77373-2917 | 2020-06-10 |
| 1285257873 | Coaching and Behavior Support Services, LLC | Clinic/Center | 6957 Alto Rey Ave # A, El Paso, TX 79912-3015 | 2020-05-19 |
| 1881214161 | A Diverse Family Inc. | Clinic/Center | 6788 Lakefront Dr, Grand Prairie, TX 75054-6831 | 2020-04-16 |
| 1710510177 | Monarch Behavioral Health, Pllc | Clinic/Center | 16607 Blanco Rd Ste 1107, San Antonio, TX 78232-1961 | 2020-02-13 |
| 1942840376 | Thrive N Grow LLC | Clinic/Center | 7108 N 23rd St Ste B4-b5, Mcallen, TX 78504-6506 | 2020-01-14 |
| 1760957070 | Toyin Kikelomo Omotosho | Clinic/Center | 2908 Montalbo, Grand Prairie, TX 75054-6506 | 2018-10-12 |
| 1306336870 | Grace Place Collin LLC | Clinic/Center | 6115 Cupertino Trl, Dallas, TX 75252-2642 | 2018-05-10 |
| 1811404635 | The Arc of North Texas | Clinic/Center | 445 Walnut St Ste 132, Richardson, TX 75081-7008 | 2018-01-02 |
| 1528411303 | Larkwood Living Center | Clinic/Center | 269 Timber Ln, Livingston, TX 77351-1573 | 2016-07-18 |
| 1578917829 | Safiya Inc | Clinic/Center | 3367 Ozark St, Houston, TX 77021-1134 | 2016-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.